IndividualActive
Paul Prusakowski, CPO, LPO
NPI 1720079775 · Prosthetist · Gainesville, FL
Provider details
- NPI number
- 1720079775
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO, LPO
- Sex
- Male
- Sole proprietor
- No
- License
- POR56 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6830 Nw 11th Pl
Ste a
Gainesville, FL 32605-4254
Phone: (352) 331-4221
Fax: (352) 332-8074
Approximate (ZIP-level) locationGet directions
Mailing address
6830 Nw 11th Pl
Gainesville, FL 32605-4254
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2007-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.